胸部CT在食管癌支架植入术后诊断食管气管瘘中的价值分析

Value of Chest CT in Diagnosis of Esophageal and Tracheal Fistula after Stent Implantation for Esophageal Carcinoma

目的:探讨与分析胸部CT在食管癌支架植入术后食管气管瘘临床诊断中的应用价值。方法:从某院2017年4月~2018年4月期间内接收的食管癌支架植入术后食管气管瘘患者中,随机抽取52例患者作为研究对象,对所有患者均行胸部CT与X线检查,观察两种方法阳性检出率情况,以及诊断准确性、灵敏性、特异性情况。结果:胸部CT阳性检出率显著高于X线,胸部CT诊断准确性、灵敏性、特异性均高于X线,比较结果有统计学意义(P<0.05)。结论:胸部CT诊断食管癌支架植入术后食管气管瘘的灵敏性与特异性较高,能够准确显示疾病的类型,为临床治疗提供了可靠的依据,值得推广使用。

Objective:To explore and analyze the value of chest CT in the diagnosis of esophageal tracheal fistula after stent implantation for esophageal carcinoma.Methods:52 patients with esophageal tracheal fistula after stent implantation for esophageal cancer in a hospital from April 2017 to April 2018 were randomly selected as the study subjects.All patients underwent chest CT and X-ray examinations,observed the positive detection rate of the two methods,as well as the diagnostic accuracy,sensitivity and specificity.Results:The positive detection rate of chest CT was significantly higher than that of X-ray;The diagnostic accuracy,sensitivity and specificity of chest CT were higher than that of X-ray;The comparison results had statistical significance(P<0.05).Conclusion:The sensitivity and specificity of chest CT in diagnosis of esophageal and tracheal fistula after stent implantation for esophageal carcinoma is high.It can accurately show the type of disease and provide a reliable basis for clinical treatment,which is worth popularizing.